| The effect of vestibular rehabilitation on adults with bilateral vestibular hypofunction: A systematic review. | |
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MedLine Citation:
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PMID: 23302709 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Purpose: Adults with bilateral vestibular hypofunction (BVH) experience significant disability. A systematic review assessed evidence for vestibular rehabilitation (VR). Number of studies: 14 studies. Materials/methods: Search identification of studies based on inclusion criteria: (a) population: adults with BVH of peripheral origin; (b) interventions: vestibular exercises, balance training, education, or sensory prosthetics; (c) comparison: single interventions or compared to another psychophysical intervention, placebo, or healthy population; (d) outcomes: based on International Classification of Functioning, Disability and Health (ICF) Body Functions and Structure, Activity, and Participation; (e) study designs: prospective and interventional, Levels of Evidence I to III per Centre of Evidence-based Medicine grading. Coding and appraisal based on ICF framework and strength of evidence synthesis. Results: Five Level II studies and nine Level III studies: All had outcomes on gaze and postural stability, five with outcomes on gait speed and perceptions of oscillopsia and disequilibrium.Conclusions: (a) Moderate evidence strength on improved gaze and postural stability (ICF-Body Functions) following exercise-based VR; (b) Inadequate number of studies supporting benefit of VR on ICF-Participation outcomes; (c) Sensory prosthetics in early phase of development. Clinical relevance: Moderate evidence strength in support of VR from an impairment level; clinical practice and research needed to explore interventions extending to ICF-Activity and Participation. |
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Authors:
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Franchino Porciuncula; Connie C Johnson; Leslie B Glickman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vestibular research : equilibrium & orientation Volume: 22 ISSN: 1878-6464 ISO Abbreviation: J Vestib Res Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2013-01-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9104163 Medline TA: J Vestib Res Country: Netherlands |
Other Details:
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Languages: eng Pagination: 283-98 Citation Subset: IM; S |
Affiliation:
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Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD, USA Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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